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Updated: Feb 15, 2026

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自体腹部按摩在术后大肠道功能上的有效性:一个随机对照试验协议
Yaokai Ma1, Huan Wang2, Shoufang Liu3
1Department of Oncology, Guanghua Integrative Medicine Hospital, Shanghai, China.
BMJ open
|February 13, 2026
概括
这项研究研究了使用脱压管的结肠直肠癌患者手术后腹腔内膜 (POI) 的自我腹部按摩 (SM). 肌痛性肌痛可以改善胃肠功能和恢复,提供潜在的非药物干预.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 胃肠道瘤学 胃肠道瘤学
- 术后护理 术后护理
背景情况:
- 手术后阴道 (POI) 是结直肠手术后的常见并发症.
- 它的特点是胃肠道运动能力受损,导致腹部张张,恶心和吐等症状.
- 自体腹部按摩 (SM) 提高POI和减压管的结直肠癌患者的康复效果需要进一步研究.
研究的目的:
- 评估自我腹部按摩 (SM) 在改善胃肠功能方面的有效性和安全性.
- 评估SM对经历POI和经历肠道减压的结直肠癌患者的康复指标的影响.
- 将SM与基本治疗和简单的身体刺激进行比较.
主要方法:
- 一个前性的,单中心的,随机对照试验,涉及102名结肠直肠癌患者的POI.
- 参与者被随机分为三个组:基本治疗 (BT),BT加SM (BT-SM) 和BT加简单的身体刺激 (BT-SPS).
- 主要结局是第一次排便的时间;次要结局包括第一次浮的时间,食耐受性,症状严重程度和并发症率.
主要成果:
- 主要结局:第一次排便后的时间-肠道解压管的放置.
- 二次结局:到第一个浮的时间,放射性评估,食耐受性,症状严重程度 (恶心,吐,疼痛,膨胀),止痛药的使用,管移除时间和不良事件.
- 数据收集发生在基线和干预后的1,2,3,4天,主要时间点在4天.
结论:
- 这项研究旨在确定SM是否可以加速胃肠道恢复,并减少POI症状在这个患者群体.
- 研究结果将为临床实践提供有关结直肠癌手术后POI的非药物干预措施的信息.
- 结果将通过同行评审的出版物和会议传播.
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